Provider Demographics
NPI:1093702086
Name:DESCANT, EMANUEL PAUL II (MD)
Entity Type:Individual
Prefix:DR
First Name:EMANUEL
Middle Name:PAUL
Last Name:DESCANT
Suffix:II
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:909 GRAHAM DRIVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:909 GRAHAM DRIVE
Practice Address - Street 2:SUITE D
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375
Practice Address - Country:US
Practice Address - Phone:281-351-7127
Practice Address - Fax:281-255-9140
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE3683207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX804890Medicare PIN
C15201Medicare UPIN